NPI | 1700122678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102192) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 71951) |
Enumeration Date | 2012-12-21 |
Last Update Date | 2022-09-23 |